Astrelis
Children's hospital · Saint Louis, MO

ST LOUIS CHILDRENS HOSPITAL

CCN 263301ST. LOUIS CountyVoluntary non-profit - OtherUrban (USDA RUCC)232 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Saint Louis, MO. It ran an operating surplus of 8.9% in FY24 on $1058.8M of operating revenue. It held 1 day of cash on hand (23rd percentile among Children's hospitals on liquidity).

Operating margin · FY24
+8.9%
3.4 pts vs FY23
vs Children's hospitals62nd pctl of 66 (FY24)
Days cash on hand · FY24
1d
all sources
1.4 days vs FY23
vs Children's hospitals23rd pctl of 60 (FY24)
Total operating revenue · FY24
$1.06B
11.7 $M vs FY23
vs Children's hospitals66th pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
+11.3%
2.6 pts vs FY23
vs Children's hospitals56th pctl of 66 (FY24)
Benchmarked within its own FY24 pool (n=66); the Children's hospital cohort's current year is FY25.
One point of operating margin at ST LOUIS CHILDRENS HOSPITAL is about $10.6M per year (1% of FY24 total operating revenue).

Where ST LOUIS CHILDRENS sits among Children's hospitals

Operating margin · FY24 pool · n = 66 of 73 filed

Each point is one Children's hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Children's hospital median is +5.6%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=66); the Children's hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Children's hospital median +5.572969972789766%ST LOUIS +8.858772681325226%-20%0%+20%Children's hospital median +5.572969972789766%ST LOUIS +8.858772681325226%
One children's hospitalST LOUISChildren's hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+8.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+11.3% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.64× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
74% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
75d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue886,1041,058,9901,045,176
Other operating revenue7,64711,49013,641
Total operating revenue893,7511,070,4791,058,817
Total operating expenses829,467939,228965,019
Operating income64,284131,25193,798
Operating margin %+7.2%+12.3%+8.9%
Grants & contributions5,0955,43411,645
Investment income87716
Other non-operating, net14,22915,60417,976
Net income84,485152,290123,425
Net income %+9.2%+14.0%+11.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 232-bed hospital at 64% occupancy 42% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
64.0%
Verified fact2024
HCRIS WS S-3
Average daily census
148.52
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
232
Verified fact2024
HCRIS WS S-3
Annual discharges
13,117
Verified fact2024
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
41.5%
Verified fact2024
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+9.2%+8.1%+7.2%+12.3%+8.9%FY20FY21FY22FY23FY24
Days cash on hand
0 days0 days0 days0 days1 dayFY20FY21FY22FY23FY24

The county this hospital serves

ST. LOUIS CITY, MO · metro, 1M+ population
Median household income
$55.3K
vs $82.1K US
Poverty rate
19.8%
vs 12.5% US
Uninsured
9.3%
vs 8.6% US
Age 65+
14.9%
vs 16.8% US
Fair or poor health
22.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.3% of county personal income is Medicare/Medicaid medical benefits; 22.6% arrives as government transfers (BEA, 2022).
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